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Published in: BMC Psychiatry 1/2014

Open Access 01-12-2014 | Study protocol

The development of a randomised controlled trial testing the effects of an online intervention among school students at risk of suicide

Authors: Jo Robinson, Sarah Hetrick, Georgina Cox, Sarah Bendall, Alison Yung, Hok Pan Yuen, Kate Templer, Jane Pirkis

Published in: BMC Psychiatry | Issue 1/2014

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Abstract

Background

Suicide-related behaviour among young people is of significant concern, yet little is known regarding the effectiveness of interventions designed to reduce risk among this population. Of those interventions that have been tested, cognitive-behavioural therapy appears to show some promise among young people with suicidal ideation. Internet-based interventions are becoming increasingly popular and have shown some effect in preventing and treating depression and anxiety in young people. However, to date there are no randomised controlled trials examining the impact of Internet-based Cognitive Behavioural Therapy among suicidal youth.

Methods/design

This is a randomised controlled trial testing the effects of Internet-based cognitive-behavioural therapy among suicidal high school students who have sought help from the school wellbeing team. The intervention comprises 8 modules of Cognitive Behavioural Therapy delivered online. The study has a staggered, two-year recruitment phase and participants are assessed at baseline, post intervention and 12 weeks later.

Discussion

If effective the program has the ability to be readily adapted and delivered to a range of populations in a range of settings, at relatively little cost. It can also be adapted for mobile applications.

Trial registration

ACTRN12613000864​729. Date registered: 05/08/2013
Appendix
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Literature
1.
2.
go back to reference Mission-Australia: National Survey of Young Australians, Key and Emerging Issues. 2009, Sydney, New South Wales: Mission-Australia Mission-Australia: National Survey of Young Australians, Key and Emerging Issues. 2009, Sydney, New South Wales: Mission-Australia
3.
go back to reference Hawton K, Fagg J: Suicide, and other causes of death, following attempted suicide. Br J Psychiatry. 1988, 152: 359-366. 10.1192/bjp.152.3.359.CrossRefPubMed Hawton K, Fagg J: Suicide, and other causes of death, following attempted suicide. Br J Psychiatry. 1988, 152: 359-366. 10.1192/bjp.152.3.359.CrossRefPubMed
4.
go back to reference Suominen K, Isometsa E, Suokas J, Haukka J, Achte K, Lonnqvist J: Completed suicide after a suicide attempt: a 37-year follow-up study. Am J Psychiatry. 2004, 161 (3): 562-563. 10.1176/appi.ajp.161.3.562.CrossRefPubMed Suominen K, Isometsa E, Suokas J, Haukka J, Achte K, Lonnqvist J: Completed suicide after a suicide attempt: a 37-year follow-up study. Am J Psychiatry. 2004, 161 (3): 562-563. 10.1176/appi.ajp.161.3.562.CrossRefPubMed
5.
go back to reference Commonwealth-Government: The hidden toll: suicide in Australia. Report of the Senate Community affairs Reference Committee. 2010, Canberra: Commonwealth of Australia Commonwealth-Government: The hidden toll: suicide in Australia. Report of the Senate Community affairs Reference Committee. 2010, Canberra: Commonwealth of Australia
6.
go back to reference Commonwealth-Government: Before it’s too late: report on early intervention programs aimed at preventing youth suicide. 2011, Canberra: Commonwealth of Australia Commonwealth-Government: Before it’s too late: report on early intervention programs aimed at preventing youth suicide. 2011, Canberra: Commonwealth of Australia
7.
go back to reference Robinson J, Pirkis J, Krysinska K, Niner S, Jorm A, Dudley M, Schindeler E, De Leo D, Harrigan S: Research priorities in suicide prevention in Australia. A comparison of current research efforts and stakeholder-identified priorities. Crisis. 2008, 29 (4): 180-190.CrossRefPubMed Robinson J, Pirkis J, Krysinska K, Niner S, Jorm A, Dudley M, Schindeler E, De Leo D, Harrigan S: Research priorities in suicide prevention in Australia. A comparison of current research efforts and stakeholder-identified priorities. Crisis. 2008, 29 (4): 180-190.CrossRefPubMed
8.
go back to reference Robinson J, Hetrick S, Martin C: Preventing suicide in young people: systematic review. ANZJP. 2011, 45 (1): 3-26.CrossRefPubMed Robinson J, Hetrick S, Martin C: Preventing suicide in young people: systematic review. ANZJP. 2011, 45 (1): 3-26.CrossRefPubMed
9.
go back to reference Patton G, Harris R, Carlin J, Hibbert M, Coffey C, Schwartz M, Bowes G: Adolescent suicide behaviours: a population-based study of risk. Psychol Med. 1997, 27: 715-724. 10.1017/S003329179600462X.CrossRefPubMed Patton G, Harris R, Carlin J, Hibbert M, Coffey C, Schwartz M, Bowes G: Adolescent suicide behaviours: a population-based study of risk. Psychol Med. 1997, 27: 715-724. 10.1017/S003329179600462X.CrossRefPubMed
10.
go back to reference Foley DL, Goldston DB, Costello EJ, Angold A: Proximal psychiatric risk factors for suicidality in youth: the Great Smoky Mountains Study. Arch Gen Psychiatry. 2006, 63 (9): 1017-1024. 10.1001/archpsyc.63.9.1017.CrossRefPubMed Foley DL, Goldston DB, Costello EJ, Angold A: Proximal psychiatric risk factors for suicidality in youth: the Great Smoky Mountains Study. Arch Gen Psychiatry. 2006, 63 (9): 1017-1024. 10.1001/archpsyc.63.9.1017.CrossRefPubMed
11.
go back to reference Hawton K, Rodham K, Evans E, Weatherall R: Deliberate self-harm in adolescents: self-report survey in schools in England. BMJ. 2002, 325: 1207-1211. 10.1136/bmj.325.7374.1207.CrossRefPubMedPubMedCentral Hawton K, Rodham K, Evans E, Weatherall R: Deliberate self-harm in adolescents: self-report survey in schools in England. BMJ. 2002, 325: 1207-1211. 10.1136/bmj.325.7374.1207.CrossRefPubMedPubMedCentral
12.
13.
go back to reference Kwok S, Shek D: Hopelessness, parent-adolescent communication, and suicidal ideation among chinese adolescents in Hong Kong. Suicide Life-Threat. 2010, 40 (3): 224-233. 10.1521/suli.2010.40.3.224.CrossRef Kwok S, Shek D: Hopelessness, parent-adolescent communication, and suicidal ideation among chinese adolescents in Hong Kong. Suicide Life-Threat. 2010, 40 (3): 224-233. 10.1521/suli.2010.40.3.224.CrossRef
14.
go back to reference Kazdin A, French N, Unis A, Esveldtdawson K, Sherick R: Hopelessness, depression, and suicidal intent among psychiatrically disturbed inpatient children. J Consult Clin Psych. 1983, 51 (4): 504-510.CrossRef Kazdin A, French N, Unis A, Esveldtdawson K, Sherick R: Hopelessness, depression, and suicidal intent among psychiatrically disturbed inpatient children. J Consult Clin Psych. 1983, 51 (4): 504-510.CrossRef
15.
go back to reference Compton SN, March JS, Brent D, Albano AM, Weersing R, Curry J: Cognitive-behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: an evidence-based medicine review. J Am Acad Child Adolesc Psychiatry. 2004, 43 (8): 930-959. 10.1097/01.chi.0000127589.57468.bf.CrossRefPubMed Compton SN, March JS, Brent D, Albano AM, Weersing R, Curry J: Cognitive-behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: an evidence-based medicine review. J Am Acad Child Adolesc Psychiatry. 2004, 43 (8): 930-959. 10.1097/01.chi.0000127589.57468.bf.CrossRefPubMed
16.
go back to reference Weersing VR, Rozenman M, Gonzalez A: Core components of therapy in youth. Behav Modif. 2009, 33 (1): 24-47.CrossRefPubMed Weersing VR, Rozenman M, Gonzalez A: Core components of therapy in youth. Behav Modif. 2009, 33 (1): 24-47.CrossRefPubMed
17.
go back to reference McDermott B, Baigent M, Chanen A, Fraser L, Graetz B, Hayman N, Newman L, Parikh N, Peirce B, Proimos J, Smalley T, Spence SH: Clinical practice guidelines: depression in adolescents and young adults. 2010, Melbourne: Beyondblue: the national depression initiative McDermott B, Baigent M, Chanen A, Fraser L, Graetz B, Hayman N, Newman L, Parikh N, Peirce B, Proimos J, Smalley T, Spence SH: Clinical practice guidelines: depression in adolescents and young adults. 2010, Melbourne: Beyondblue: the national depression initiative
18.
go back to reference Gerhards SAH, de Graaf LE, Jacobs LE, Severens JL, Huibers MJH, Arntz A, Riper H, Widdershoven G, Metsemakers JFM, Evers SMAA: Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: randomised trial. Br J Psychiatry. 2010, 196 (4): 310-318. 10.1192/bjp.bp.109.065748.CrossRefPubMed Gerhards SAH, de Graaf LE, Jacobs LE, Severens JL, Huibers MJH, Arntz A, Riper H, Widdershoven G, Metsemakers JFM, Evers SMAA: Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: randomised trial. Br J Psychiatry. 2010, 196 (4): 310-318. 10.1192/bjp.bp.109.065748.CrossRefPubMed
19.
go back to reference Griffiths KM, Farrer L, Christensen H: The efficacy of internet interventions for depression and anxiety disorders: a review of randomised controlled trials. Med J Aust. 2010, 192 (11): S4-S11.PubMed Griffiths KM, Farrer L, Christensen H: The efficacy of internet interventions for depression and anxiety disorders: a review of randomised controlled trials. Med J Aust. 2010, 192 (11): S4-S11.PubMed
20.
go back to reference Kaltenthaler E, Parry G, Beverley C: Computerized cognitive behavioural therapy: a systematic review. Behav Cogn Psychother. 2004, 32 (01): 31-55. 10.1017/S135246580400102X.CrossRef Kaltenthaler E, Parry G, Beverley C: Computerized cognitive behavioural therapy: a systematic review. Behav Cogn Psychother. 2004, 32 (01): 31-55. 10.1017/S135246580400102X.CrossRef
21.
go back to reference Proudfoot J, Ryden C, Everitt B, Shapiro DA, Goldberg D, Mann A, Tylee A, Marks I, Gray JA: Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial. Br J Psychiatry. 2004, 185 (1): 46-54. 10.1192/bjp.185.1.46.CrossRefPubMed Proudfoot J, Ryden C, Everitt B, Shapiro DA, Goldberg D, Mann A, Tylee A, Marks I, Gray JA: Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial. Br J Psychiatry. 2004, 185 (1): 46-54. 10.1192/bjp.185.1.46.CrossRefPubMed
22.
go back to reference Titov N: Status of computerized cognitive behavioural therapy for adults. ANZJP. 2007, 41 (2): 95-114.CrossRefPubMed Titov N: Status of computerized cognitive behavioural therapy for adults. ANZJP. 2007, 41 (2): 95-114.CrossRefPubMed
23.
go back to reference Spek V, Cuijpers P, Nyklícek I, Riper H, Keyzer J, Pop V: Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007, 37 (03): 319-328. 10.1017/S0033291706008944.CrossRefPubMed Spek V, Cuijpers P, Nyklícek I, Riper H, Keyzer J, Pop V: Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007, 37 (03): 319-328. 10.1017/S0033291706008944.CrossRefPubMed
24.
go back to reference Kessler D, Lewis G, Kaur S, Wiles N, King M, Weich S, Sharp DJ, Araya R, Hollinghurst S, Peters TJ: Therapist-delivered internet psychotherapy for depression in primary care: a randomised controlled trial. Lancet. 2009, 374 (9690): 628-634. 10.1016/S0140-6736(09)61257-5.CrossRefPubMed Kessler D, Lewis G, Kaur S, Wiles N, King M, Weich S, Sharp DJ, Araya R, Hollinghurst S, Peters TJ: Therapist-delivered internet psychotherapy for depression in primary care: a randomised controlled trial. Lancet. 2009, 374 (9690): 628-634. 10.1016/S0140-6736(09)61257-5.CrossRefPubMed
25.
go back to reference Cuijpers P, van Straten A, Andersson G: Internet-administered cognitive behavior therapy for health problems: a systematic review. J Behav Med. 2008, 31 (2): 169-177. 10.1007/s10865-007-9144-1.CrossRefPubMed Cuijpers P, van Straten A, Andersson G: Internet-administered cognitive behavior therapy for health problems: a systematic review. J Behav Med. 2008, 31 (2): 169-177. 10.1007/s10865-007-9144-1.CrossRefPubMed
26.
go back to reference Berger M, Wagner TH, Baker LC: Internet use and stigmatized illness. Soc Sci Med. 2005, 61 (8): 1821-1827. 10.1016/j.socscimed.2005.03.025.CrossRefPubMed Berger M, Wagner TH, Baker LC: Internet use and stigmatized illness. Soc Sci Med. 2005, 61 (8): 1821-1827. 10.1016/j.socscimed.2005.03.025.CrossRefPubMed
27.
go back to reference Richardson T, Stallard P, Velleman S: Computerised cognitive behavioural therapy for the prevention and treatment of depression and anxiety in children and adolescents: a systematic review. Clin Child Fam Psychol Rev. 2010, 13 (3): 275-290. 10.1007/s10567-010-0069-9.CrossRefPubMed Richardson T, Stallard P, Velleman S: Computerised cognitive behavioural therapy for the prevention and treatment of depression and anxiety in children and adolescents: a systematic review. Clin Child Fam Psychol Rev. 2010, 13 (3): 275-290. 10.1007/s10567-010-0069-9.CrossRefPubMed
28.
go back to reference Calear AL, Christensen H: Review of internet-based prevention and treatment programs for anxiety and depression in children and adolescents. Med J Aust. 2010, 192 (11 Suppl): S12-S14.PubMed Calear AL, Christensen H: Review of internet-based prevention and treatment programs for anxiety and depression in children and adolescents. Med J Aust. 2010, 192 (11 Suppl): S12-S14.PubMed
29.
go back to reference Christensen H, Griffiths K, Farrer L: Adherence in internet interventions for anxiety and depression: systematic review. JMIR. 2009, 11 (2): e13-PubMedPubMedCentral Christensen H, Griffiths K, Farrer L: Adherence in internet interventions for anxiety and depression: systematic review. JMIR. 2009, 11 (2): e13-PubMedPubMedCentral
30.
go back to reference Cavanagh K, et al: Turn on, tune in and (don't) drop out: engagement, adherence, attrition, and alliance with internet-based interventions. Oxford Guide to Low Intensity CBT Interventions. Edited by: Bennett-Levy J, Rishcards DA, Farrand P, Christensen H, Griffiths KM, Kavanagh DJ, Klein B, Lau MA, Proudfoot J, Ritterband L. 2010, New York: Oxford University Press, 227-232.CrossRef Cavanagh K, et al: Turn on, tune in and (don't) drop out: engagement, adherence, attrition, and alliance with internet-based interventions. Oxford Guide to Low Intensity CBT Interventions. Edited by: Bennett-Levy J, Rishcards DA, Farrand P, Christensen H, Griffiths KM, Kavanagh DJ, Klein B, Lau MA, Proudfoot J, Ritterband L. 2010, New York: Oxford University Press, 227-232.CrossRef
31.
go back to reference Robinson J, Gook S, Pan Yuen H, Hughes A, Dodd S, Bapat S, Schwass W, McGorry P, Yung Y: Depression education and identification in schools: an Australian-based study. School Mental Health. 2010, 2 (1): 13-22. 10.1007/s12310-009-9022-9.CrossRef Robinson J, Gook S, Pan Yuen H, Hughes A, Dodd S, Bapat S, Schwass W, McGorry P, Yung Y: Depression education and identification in schools: an Australian-based study. School Mental Health. 2010, 2 (1): 13-22. 10.1007/s12310-009-9022-9.CrossRef
32.
go back to reference Lake AM, Gould MS: School-based strategies for youth suicide prevention. International Handbook of Suicide Prevention: Research, Policy and Practice. Edited by: O'Connor RC, Platt S, Gordon J. 2011, Chichester: John Wiley & Sons, 507-530.CrossRef Lake AM, Gould MS: School-based strategies for youth suicide prevention. International Handbook of Suicide Prevention: Research, Policy and Practice. Edited by: O'Connor RC, Platt S, Gordon J. 2011, Chichester: John Wiley & Sons, 507-530.CrossRef
33.
go back to reference Mental Health Foundation: Truth hurts - report of the national inquiry into self-harm among young people. 2006, London: Mental Health Foundation Mental Health Foundation: Truth hurts - report of the national inquiry into self-harm among young people. 2006, London: Mental Health Foundation
34.
go back to reference Robinson J, Pan Yuen H, Martin C, Hughes A, Baksheev GN, Dodd S, Bapat S, Schwass W, McGorry P, Yung AR: Does screening high school students for psychological distress, deliberate self-harm or suicidal ideation cause distress and is it acceptable? An Australian based study. Crisis. 2011, 32 (5): 254-263.CrossRefPubMed Robinson J, Pan Yuen H, Martin C, Hughes A, Baksheev GN, Dodd S, Bapat S, Schwass W, McGorry P, Yung AR: Does screening high school students for psychological distress, deliberate self-harm or suicidal ideation cause distress and is it acceptable? An Australian based study. Crisis. 2011, 32 (5): 254-263.CrossRefPubMed
35.
go back to reference Van Spijker B, Van Straten A, Kerkhof A: Effectiveness of online self-help for suicidal thoughts: Results of a randomised controlled trial. PLoS One. 2014, 9 (2): e90118-10.1371/journal.pone.0090118.CrossRefPubMedPubMedCentral Van Spijker B, Van Straten A, Kerkhof A: Effectiveness of online self-help for suicidal thoughts: Results of a randomised controlled trial. PLoS One. 2014, 9 (2): e90118-10.1371/journal.pone.0090118.CrossRefPubMedPubMedCentral
36.
go back to reference Christensen H, Farrer L, Batterham P, Mackinnon A, Griffiths KM, Donker T: The effect of a web-based depression intervention on suicide ideation: Secondary outcome from a randomised controlled trial in a helpline. BMJ Open. 2013, 3: e002886-CrossRefPubMedPubMedCentral Christensen H, Farrer L, Batterham P, Mackinnon A, Griffiths KM, Donker T: The effect of a web-based depression intervention on suicide ideation: Secondary outcome from a randomised controlled trial in a helpline. BMJ Open. 2013, 3: e002886-CrossRefPubMedPubMedCentral
37.
go back to reference Watts S, Newby JM, Mewton L, Andrews G: A clinical audit of changes in suicide ideas with internet treatment for depression. BMJ Open. 2012, 2: e001558-CrossRefPubMedPubMedCentral Watts S, Newby JM, Mewton L, Andrews G: A clinical audit of changes in suicide ideas with internet treatment for depression. BMJ Open. 2012, 2: e001558-CrossRefPubMedPubMedCentral
38.
go back to reference Robinson J, Hetrick S, Cox G, Bendall S, Yuen HP, Yung A, Pirkis J: Can an internet-based intervention reduce suicidal ideation, depression and hopelessness among secondary school students: results from a pilot study. Early Interv Psychiatry. 2014, doi:10.1111/eip.12137 Robinson J, Hetrick S, Cox G, Bendall S, Yuen HP, Yung A, Pirkis J: Can an internet-based intervention reduce suicidal ideation, depression and hopelessness among secondary school students: results from a pilot study. Early Interv Psychiatry. 2014, doi:10.1111/eip.12137
39.
go back to reference Robinson J, Hetrick S, Cox G, Bendall S, Yung A, Pirkis J: The safety and acceptability of delivering an online intervention to secondary students at risk of suicide: findings from a pilot study. Early Interv Psychiatry. 2014, doi:10.1111/eip.12136 Robinson J, Hetrick S, Cox G, Bendall S, Yung A, Pirkis J: The safety and acceptability of delivering an online intervention to secondary students at risk of suicide: findings from a pilot study. Early Interv Psychiatry. 2014, doi:10.1111/eip.12136
40.
go back to reference Schulz KF, Altman DG, Moher D, CONSORT Group: CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010, 340: c332-10.1136/bmj.c332.CrossRefPubMedPubMedCentral Schulz KF, Altman DG, Moher D, CONSORT Group: CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010, 340: c332-10.1136/bmj.c332.CrossRefPubMedPubMedCentral
41.
go back to reference Reynolds WM: Suicidal Ideation Questionnaire: Professional manual. 1988, Odessa, FL: Psychological Assessment Resources Reynolds WM: Suicidal Ideation Questionnaire: Professional manual. 1988, Odessa, FL: Psychological Assessment Resources
42.
go back to reference Davis JM: Suicidal Ideation Questionnaire. J Psychoeduc Assess. 1992, 10 (3): 298-301. 10.1177/073428299201000311.CrossRef Davis JM: Suicidal Ideation Questionnaire. J Psychoeduc Assess. 1992, 10 (3): 298-301. 10.1177/073428299201000311.CrossRef
43.
go back to reference Poznanski EO, Mokros HB: Children’s Depression Rating Scale Revised (CDRS-R). 1996, Los Angeles: Western Psychological Services (WPS) Poznanski EO, Mokros HB: Children’s Depression Rating Scale Revised (CDRS-R). 1996, Los Angeles: Western Psychological Services (WPS)
44.
go back to reference Reynolds WM: Reynolds Adolescent Depression Scale Professional Manual. 1987, Odessa, Florida: Psychological Assessment Resources Reynolds WM: Reynolds Adolescent Depression Scale Professional Manual. 1987, Odessa, Florida: Psychological Assessment Resources
45.
go back to reference Myers K, Winters NC: Ten-year review of rating scales. II: scales for internalizing disorders. J Am Acad Child Adolesc Psychiatry. 2002, 41 (6): 634-659. 10.1097/00004583-200206000-00004.CrossRefPubMed Myers K, Winters NC: Ten-year review of rating scales. II: scales for internalizing disorders. J Am Acad Child Adolesc Psychiatry. 2002, 41 (6): 634-659. 10.1097/00004583-200206000-00004.CrossRefPubMed
46.
go back to reference Reynolds WM: Reynolds Adolescent depression Scale-2nd Edition: Short Form (RADS-2:SF) Professional Manual. 2008, Lutz, FL: Psychological Assessment Resources, Inc Reynolds WM: Reynolds Adolescent depression Scale-2nd Edition: Short Form (RADS-2:SF) Professional Manual. 2008, Lutz, FL: Psychological Assessment Resources, Inc
47.
go back to reference Beck S: Beck Hopelessness Scale. 1988, San Antonio: Psych Corporation Beck S: Beck Hopelessness Scale. 1988, San Antonio: Psych Corporation
48.
go back to reference Beck AT, Brown G, Berchick RJ, Stewart BL, Steer RA: Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. Focus. 2006, 4 (2): 291-296.CrossRef Beck AT, Brown G, Berchick RJ, Stewart BL, Steer RA: Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. Focus. 2006, 4 (2): 291-296.CrossRef
49.
go back to reference March JS, Parker JDA, Sullivan K, Stallings P, Conners CK: The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity. J Am Acad Child Adolesc Psychiatry. 1997, 36 (4): 554-565. 10.1097/00004583-199704000-00019.CrossRefPubMed March JS, Parker JDA, Sullivan K, Stallings P, Conners CK: The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity. J Am Acad Child Adolesc Psychiatry. 1997, 36 (4): 554-565. 10.1097/00004583-199704000-00019.CrossRefPubMed
50.
go back to reference Robichaud M, Dugas MJ: Negative problem orientation (Part I): psychometric properties of a new measure. Behav Res Ther. 2005, 43 (3): 391-401. 10.1016/j.brat.2004.02.007.CrossRefPubMed Robichaud M, Dugas MJ: Negative problem orientation (Part I): psychometric properties of a new measure. Behav Res Ther. 2005, 43 (3): 391-401. 10.1016/j.brat.2004.02.007.CrossRefPubMed
51.
go back to reference Jacob KL, Christopher MS, Neuhaus EC: Development and validation of the Cognitive-Behavioral Therapy Skills Questionnaire. Behav Modif. 2011, 35 (6): 595-618. 10.1177/0145445511419254.CrossRefPubMed Jacob KL, Christopher MS, Neuhaus EC: Development and validation of the Cognitive-Behavioral Therapy Skills Questionnaire. Behav Modif. 2011, 35 (6): 595-618. 10.1177/0145445511419254.CrossRefPubMed
52.
go back to reference Kraemer R, Dzewaltowski D, Blair M, Rinehardt K, Castracane V: Mood alteration from treadmill running and its relationship to beta-endorphin, corticotropin and growth-hormone. J Sport Med Phys Fit. 1990, 30: 241-246. Kraemer R, Dzewaltowski D, Blair M, Rinehardt K, Castracane V: Mood alteration from treadmill running and its relationship to beta-endorphin, corticotropin and growth-hormone. J Sport Med Phys Fit. 1990, 30: 241-246.
53.
go back to reference Berger B, Grove J, Prapavessis H, Butki B: Relationship of swimming distance, expectancy, and performance to mood states of competitive athletes. Percept Motor Skill. 1997, 84: 1199-1210. 10.2466/pms.1997.84.3c.1199.CrossRef Berger B, Grove J, Prapavessis H, Butki B: Relationship of swimming distance, expectancy, and performance to mood states of competitive athletes. Percept Motor Skill. 1997, 84: 1199-1210. 10.2466/pms.1997.84.3c.1199.CrossRef
54.
go back to reference Gould MS, Marrocco FA, Kleinman M, Thomas JG, Mostkoff K, Cote J, Davies M: Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial. JAMA. 2005, 293 (13): 1635-1643. 10.1001/jama.293.13.1635.CrossRefPubMed Gould MS, Marrocco FA, Kleinman M, Thomas JG, Mostkoff K, Cote J, Davies M: Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial. JAMA. 2005, 293 (13): 1635-1643. 10.1001/jama.293.13.1635.CrossRefPubMed
55.
go back to reference Yung AR, Yuen HP, McGorry PD, Phillips LJ, Kelly D, Dell'Olio M, Francey SM, Cosgrave EM, Killackey E, Stanford C, Godfrey K, Buckby J: Mapping the onset of psychosis: the Comprehensive Assessment of At-Risk Mental States. Aust N Z J Psychiatry. 2005, 39 (11–12): 964-971.CrossRefPubMed Yung AR, Yuen HP, McGorry PD, Phillips LJ, Kelly D, Dell'Olio M, Francey SM, Cosgrave EM, Killackey E, Stanford C, Godfrey K, Buckby J: Mapping the onset of psychosis: the Comprehensive Assessment of At-Risk Mental States. Aust N Z J Psychiatry. 2005, 39 (11–12): 964-971.CrossRefPubMed
56.
go back to reference Christie G, Marsh R, Sheridan J, Wheeler A, Suaalii-Sauni T, Black S, Butler R: The Substances and Choices Scale Manual. 2006 Christie G, Marsh R, Sheridan J, Wheeler A, Suaalii-Sauni T, Black S, Butler R: The Substances and Choices Scale Manual. 2006
57.
go back to reference Rickwood DJ, Deane FP, Wilson CJ: When and how do young people seek professional help for mental health problems?. Med J Aust. 2007, 187 (7): S35-S39.PubMed Rickwood DJ, Deane FP, Wilson CJ: When and how do young people seek professional help for mental health problems?. Med J Aust. 2007, 187 (7): S35-S39.PubMed
58.
go back to reference Robinson J, Gook S, Pan Yuen H, McGorry P, Yung Y: Managing deliberate self-harm in young people: an evaluation of a training program developed for school welfare staff using a longitudinal research design. BMC Psychiatry. 2008, 8 (75): Robinson J, Gook S, Pan Yuen H, McGorry P, Yung Y: Managing deliberate self-harm in young people: an evaluation of a training program developed for school welfare staff using a longitudinal research design. BMC Psychiatry. 2008, 8 (75):
59.
go back to reference Slee N, Garnefski N, van der Leeden R, Arensman E, Spinhoven P: Cognitive-behavioural intervention for self-harm: randomised controlled trial. Br J Psychiatry. 2008, 192 (3): 202-211. 10.1192/bjp.bp.107.037564.CrossRefPubMed Slee N, Garnefski N, van der Leeden R, Arensman E, Spinhoven P: Cognitive-behavioural intervention for self-harm: randomised controlled trial. Br J Psychiatry. 2008, 192 (3): 202-211. 10.1192/bjp.bp.107.037564.CrossRefPubMed
60.
go back to reference Robinson J, Yuen H, Gook S, Hughes A, Cosgrave E, Killackey E, Baker K, Jorm A, McGorry P, Yung A: Can receipt of a regular postcard reduce suicide-related behaviour in young help-seekers? A randomised controlled trial. Early Interv Psychiatry. 2012, 6 (2): 145-152. 10.1111/j.1751-7893.2011.00334.x.CrossRefPubMed Robinson J, Yuen H, Gook S, Hughes A, Cosgrave E, Killackey E, Baker K, Jorm A, McGorry P, Yung A: Can receipt of a regular postcard reduce suicide-related behaviour in young help-seekers? A randomised controlled trial. Early Interv Psychiatry. 2012, 6 (2): 145-152. 10.1111/j.1751-7893.2011.00334.x.CrossRefPubMed
61.
62.
go back to reference March S, Spence SH, Donovan CL: The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders. J Pediatr Psychol. 2009, 5: 474-487.CrossRef March S, Spence SH, Donovan CL: The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders. J Pediatr Psychol. 2009, 5: 474-487.CrossRef
63.
go back to reference Mathias C, Furr M, Sheftall A, Hill-Kapturczak N, Crum P, Dougherty D: What’s the harm in asking about suicidal ideation?. Suicide Life Threat Behav. 2012, 42 (3): 341-351. 10.1111/j.1943-278X.2012.0095.x.CrossRefPubMedPubMedCentral Mathias C, Furr M, Sheftall A, Hill-Kapturczak N, Crum P, Dougherty D: What’s the harm in asking about suicidal ideation?. Suicide Life Threat Behav. 2012, 42 (3): 341-351. 10.1111/j.1943-278X.2012.0095.x.CrossRefPubMedPubMedCentral
64.
go back to reference Heckathorn D: Respondent-driven sampling ii: deriving valid population estimates from chain-referral samples of hidden populations. Soc Probl. 2002, 49 (1): 11-34. 10.1525/sp.2002.49.1.11.CrossRef Heckathorn D: Respondent-driven sampling ii: deriving valid population estimates from chain-referral samples of hidden populations. Soc Probl. 2002, 49 (1): 11-34. 10.1525/sp.2002.49.1.11.CrossRef
Metadata
Title
The development of a randomised controlled trial testing the effects of an online intervention among school students at risk of suicide
Authors
Jo Robinson
Sarah Hetrick
Georgina Cox
Sarah Bendall
Alison Yung
Hok Pan Yuen
Kate Templer
Jane Pirkis
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2014
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-14-155

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